Individual
DAVE MANTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1300 N HIGHLAND AVE, SUITE 2, AURORA, IL 60506-1451
(630) 897-9606
(630) 897-9625
Mailing address
1300 N HIGHLAND AVE, SUITE 2, AURORA, IL 60506-1451
(630) 897-9606
(630) 897-9625
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036085384
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001630376
BLUE CROSS BLUE SHIELD
—
Enumeration date
01/04/2007
Last updated
09/16/2014
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